The new CPT code 44705 , Preparation of fecal microbiota for instillation, including assessment of donor specimen, does not include the instillation. The parenthetical note following the code instructs to report the unlisted code 44799 (REVISED IN 2015) for fecal instillation by oro-nasogastric tube or enema. Please advise how to report if the instillation is done via colonoscopy or via EGD. ...
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Article Overview
This article explains the scope of a new CPT service for fecal microbiota preparation and addresses how related instillation services are reported when performed with endoscopic procedures. It is aimed at coders and billing staff who need to distinguish the preparation service from the separate procedure used to deliver it, and to recognize the Medicare-specific reporting option noted by CMS.
Why This Topic Matters
This topic matters because fecal microbiota services involve more than one reportable component, and the reporting approach can differ between Medicare and non-Medicare cases. Accurate identification of the relevant code sets helps support correct claim submission for endoscopic delivery of the service.
What You Will Learn
- The general scope of fecal microbiota preparation reporting
- How the related instillation service is discussed in relation to endoscopic procedures
- That Medicare-specific reporting is addressed separately from non-Medicare reporting
- Which coding systems are involved in this service area
Who Should Read This
- Medical coders
- Billing specialists
- Compliance staff
- Revenue cycle professionals
- Gastroenterology practice staff
Codes Discussed
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